If you're a first-time client, please review and complete the following forms, bring them to your first session.
PRIVATE PRACTICE THERAPY FORMS:
- Client Intake Form
- Limits of Confidentiality/Cancellation Policy Form
- HIPAA Notice of Privacy Policies
- Informed Consent - Use of email & text
If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:
If you have been directed here as part of a monitoring & support program, please use these forms to initiate an Intake into the PAG or ARMS Program:
SOBERLINK MONITORING FORMS
- Soberlink Biographical Information Form
- Soberlink Instructions - Addendum A
- Soberlink Suggested Protocol - Addendum B
Soberlink ROI - Concerned Entity
PROFESSIONAL MONITORING & SUPPORT FORMS:
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